Organization Active NPI

Jeffrey R Geer OD PC

Doing business as Family Eyecare Center

  • Optometrist
  • Beech Island, SC
National Provider Identifier
1508921495
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
974 Issued in SC
Legal business name
JEFFREY R GEER OD PC
Doing business as
Family Eyecare Center
Practice address
4592 Jefferson Davis Hwy
Beech Island, SC 29842-4872
Phone
(803) 593-4508
Fax
(803) 593-4504
NPI assigned
Dec 22, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffrey Robert Geer, OD
Title
Owner
Phone
(803) 593-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 974 SC Primary

Addresses

Primary practice location

4592 Jefferson Davis Hwy
Beech Island, SC 29842-4872

Mailing address

PO Box 280
Clearwater, SC 29822-0280
Phone (803) 593-4508

Other identifiers 1

IdentifierTypeStateIssuer
DA9892MedicaidSC

Other names 1

  • Family Eyecare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Eyecare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4592 Jefferson Davis Hwy
Beech Island, SC 29842
Phone (803) 593-4503

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1508921495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "CLEARWATER",
            "state": "SC",
            "postal_code": "298220280",
            "telephone_number": "803-593-4508",
            "fax_number": "803-593-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4592 JEFFERSON DAVIS HWY",
            "city": "BEECH ISLAND",
            "state": "SC",
            "postal_code": "298424872",
            "telephone_number": "803-593-4508",
            "fax_number": "803-593-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R GEER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "GEER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-593-4508",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9892",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beech Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.